儿童抗病毒中药注射剂应用情况分析

Study on antiviral traditional chinese drug injection in pediatric outpatient

目的 了解患儿抗病毒中药注射剂的使用情况,促进临床合理用药.方法 选择大连市14岁以下儿童患者的西药处方,对其用药情况进行回顾性分析.结果 被选定的医院1562张处方中,有632张使用抗病毒中药注射剂（使用率为40.46％）,使用金额占处方金额的51.10％;给药途径以静脉滴注为主（占91.49％）.处方中抗病毒中药注射剂单独应用占30.01％,与抗菌药物联合应用的百分比为67.41％.结论 医院儿童患者抗病毒中药注射剂使用基本合理,但也存在给药途径单一、联合抗菌药物比例较高、处方书写不合理的现象,在临床中仍要加强管理,严格把握用药指征,确保儿童临床安全用药.

Objective To understand the use of antiviral traditional Chinese drug injections（TCDI）in pediatric outpatient of the hospital,in order to promote the clinical rational drug use.Methods A tertiary hospital was randomly selected in the study.The conditions of drug application of pediatric outpatient prescriptions in 2015 were retrospectively analyzed.Results In the 1562 pediatric outpatient prescriptions,a total of 632 prescriptions used TCDI （40.46%）.The cost amounted for 51.10% of the formula cost.91.46% of the TCDI were used by intravenous drip,30.01% were used alone and 67.41% associated with antibacterials.Conclusions The application of TCDI in pediatric outpatients of the hospital is relatively reasonable,but the pediatric outpatient prescriptions also have many problems.The route of administration is single,the application rate of antibiotic is too high.There are unreasonable prescription writing.We should still strengthen management,strictly grasp the medication indications and ensure the clinical medication safety.